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Oxford Hip and Knee Scores do not aid in monitoring OA progression for patients awaiting THA, TKA
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Researchers concluded in this study that the Oxford Hip and Knee Scores are not useful in monitoring arthritic progression in patients waitlisted for total hip and total knee arthroplasty when measured in a week-to-week variation.
“In summary, the indices of week-to-week reproducibility of the [Oxford Knee Score] OKS and [Oxford Hip Score] OHS indicate that the scores are not suitable for monitoring the progression of [osteoarthritis] OA in individual patients,” Justine M. Naylor, BApp Sc (Phty), PhD, and colleagues wrote in the study. “Rather, reference to changes in specific questions which have significant clinical implications may be more useful.”
Naylor and colleagues recorded the OHS and OKS of 103 patients on the wait list for total hip arthroplasty (THA) and total knee arthroplasty (TKA) for 2 weeks and measured the limits of agreement for the scores. They found an “unacceptably large” week-to-week variation in the limits of agreement for 95% of the Oxford scores, according to the abstract. However, they noted little variation in the limits of agreement in the individual questions.
Disclosure: The authors have no relevant financial disclosures.
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